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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >The Promise and the Challenge of Technology-Facilitated Methods for Assessing Behavioral and Cognitive Markers of Risk for Suicide among U.S. Army National Guard Personnel
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The Promise and the Challenge of Technology-Facilitated Methods for Assessing Behavioral and Cognitive Markers of Risk for Suicide among U.S. Army National Guard Personnel

机译：美国陆军国民警卫队人员评估自杀危险行为和认知标记的技术辅助方法的承诺和挑战

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摘要

Suicide was the 10th leading cause of death for Americans in 2015 and rates have been steadily climbing over the last 25 years. Rates are particularly high amongst U.S. military personnel. Suicide prevention efforts in the military are significantly hampered by the lack of: (1) assessment tools for measuring baseline risk and (2) methods to detect periods of particularly heightened risk. Two specific barriers to assessing suicide risk in military personnel that call for innovation are: (1) the geographic dispersion of military personnel from healthcare settings, particularly amongst components like the Reserves; and (2) professional and social disincentives to acknowledging psychological distress. The primary aim of this paper is to describe recent technological developments that could contribute to risk assessment tools that are not subject to the limitations mentioned above. More specifically, Behavioral Signal Processing can be used to assess behaviors during interaction and conversation that likely indicate increased risk for suicide, and computer-administered, cognitive performance tasks can be used to assess activation of the suicidal mode. These novel methods can be used remotely and do not require direct disclosure or endorsement of psychological distress, solving two challenges to suicide risk assessment in military and other sensitive settings. We present an introduction to these technologies, describe how they can specifically be applied to assessing behavioral and cognitive risk for suicide, and close with recommendations for future research.
机译：自杀是2015年美国人死亡的第十大原因，在过去25年中，自杀率一直在稳步上升。在美国军事人员中，这一比率特别高。缺少以下方面极大地阻碍了军队的自杀预防工作：（1）用于测量基线风险的评估工具；（2）检测风险特别高的时期的方法。要求创新的评估军事人员自杀风险的两个具体障碍是：（1）军事人员在医疗机构中的地域分散，特别是在后备部队等部门之间； （2）承认心理困扰的专业和社会障碍。本文的主要目的是描述可以有助于不受上述限制的风险评估工具的最新技术发展。更具体地说，行为信号处理可用于评估交互和对话过程中可能表明自杀风险增加的行为，而计算机管理的认知表现任务可用于评估自杀模式的激活。这些新颖的方法可以远程使用，不需要直接披露或认可心理困扰，从而解决了军事和其他敏感环境下自杀风险评估的两个挑战。我们将对这些技术进行介绍，描述如何将其专门用于评估自杀的行为和认知风险，并为以后的研究提供建议。

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